Mock Circulation Simulation of Extracorporeal Membrane Oxygenation Support for Systemic Ventricular Failure in an Infant: The Effect of Atrial Septostomy
This study demonstrates that a mock circulation can be used to investigate the size of an ASD necessary to effect sufficient clinical improvement in a two-ventricle infant on ECMO.
Cost-Effectiveness of the Implantable HeartMate II Left Ventricular Assist Device for Patients Awaiting Heart Transplantation
Although HeartMate II LVAD implantation significantly increases survival compared with conventional medical management, it does not provide good value for the money spent according to established thresholds of cost-effectiveness in the UK.
Advances in Mechanical Circulatory Support in the Treatment of Heart Failure
In recent years, the implantation of Ventricular Assist Devices (VAD) as definitive therapy (DT) has emerged as a promising replacement therapy for heart transplantation.
Preservation of Myocardium During Coronary Artery Bypass Surgery
In the present review article on myocardial protection in contemporary coronary artery bypass surgery, we attempt to elucidate the clinical problems, summarize the outcomes of selected phase III trials, and introduce new perspectives.
Cerebral Desaturation Events in the Intensive Care Unit Following Cardiac Surgery
This study was designed to identify the incidence of CDEs (defined as a decrease in SctO(2) to less than 60% for at least 60 seconds) in the immediate postoperative period following cardiac surgery.
Perioperative Predictors of Morbidity and Mortality Following Cardiac Surgery Under Cardiopulmonary Bypass
The aim of the present study was to identify the perioperative risk factors associated with morbidity, mortality and length of stay in the recovery room (LOSR) and length of stay in the hospital (LOSH).
Unilateral Versus Bilateral Antegrade Cerebral Protection During Circulatory Arrest in Aortic Surgery: A Meta-Analysis of 5100 Patients
Our objective was to determine whether the use of unilateral (u-ACP) or bilateral antegrade cerebral perfusion (b-ACP) results in different mortality and neurologic outcomes after complex aortic surgery.
Management and Outcomes of Patients on Preoperative Plavix (Clopidogrel) Undergoing General Thoracic Surgery
We conducted this review to examine the perioperative management and outcomes of patients undergoing general thoracic surgical procedures.
Transcatheter Aortic Valve Implantation in Very High-Risk Patients With EuroSCORE of More Than 40%
Patients with comorbidities, as mirrored by a EuroSCORE of more than 40% should not be refused for TAVI. On the contrary, this is a supreme indication for the TAVI procedure.
Cognitive Function After Transapical Aortic Valve Implantation: A Single-Centre Study with 3-Month Follow-Up
Cognitive function was only mildly impaired after TA-TAVI when compared with a marked, albeit transient, decline after surgical AVR. Focal embolic brain injury tended to occur more frequently after TA-TAVI, but this was not related to cognitive decline during 3-month follow-up.
Predictors of Mortality in Patients Undergoing Percutaneous Aortic Valve Implantation
TAVI procedure, in high risk patients with critical aortic stenosis, can be accomplished with low procedural mortality. The worst outcome affects particularly patients with renal insufficiency and previous coronary bypass. However, the long-term mortality remains high due to the poor baseline conditions, mainly related to co-morbidity and to the presence of residual post-procedural aortic insufficiency.
Transcatheter Aortic Valve Implantation in Very High-Risk Patients With EuroSCORE of More Than 40%
Patients with comorbidities, as mirrored by a EuroSCORE of more than 40% should not be refused for TAVI. On the contrary, this is a supreme indication for the TAVI procedure.